Culinary Arts Program - Application Fee Permissible Requirements

Transcription

1 1 FOR INTERNAL USE ONLY DATE: APPLICATION FOR ADMISSION APPLICATION FEE: Please complete all of the fields on the following pages. Completed applications may be ed to faxed to or mailed to CKCA, 1407 Coney Island Ave., Brooklyn, NY An application fee of $50, payable by cash or check (made out to CKCA) must accompany the application in order to be considered. PROGRAM INFORMATION Please check the program(s) and semester for which you are applying. CULINARY ARTS PASTRY ARTS FALL 2013 FALL EVENING 2013 WINTER 2014 WINTER EVENING 2014 SPRING 2014 SUMMER 2014 PERSONAL INFORMATION First: Last: MI: Home Address: City: State: Zipcode: Country: Home Phone: Cell Phone: Gender: Male Female Date of Birth (mm/dd/yy): Age: Marital Status: Single Married Spouse s Full Name: Current Employer: Employer s Address: Position: Employer s Phone: How long have you been with your current employer? Citizenship: U.S. U.S. Permanent Resident Other (specify country) Have you ever been convicted of a crime? (If yes please attach a letter to this application describing all relevant details.) How did you hear about our program?

2 2 EDUCATION (Please list all schools attended high school seminary, college, graduate school most recent first) Name of School (no abbreviations) Location (city, state, country) Did you Graduate? Date of Graduation (mm/yy) Currently a student? WORK EXPERIENCE (Please list all work experience, food service or otherwise, most recent first.) Employer 1. Location (city, state, country) Position & Duties Dates Employed (mm/yy mm/yy) ESSAY (Please complete the following and attach it to your application.) In words, please explain the following: What is your interest in the culinary and/or pastry arts? Which program(s) are you interested in taking and why? Explain your expectations for the program(s) what do you expect to learn and what would you like to be able to do, personally or professionally, afterwards? Are you considering food service as a profession? If so, where do you see yourself in one year? In five years? CAREER Would you be interested in pursuing a professional apprenticeship upon completing this program?

3 3 EMERGENCY CONTACT (Please list the person to contact in the event of an emergency.) Name: Relation: Address: City: State: Zip: Home Phone: Cell: Work: MEDICAL HISTORY Please list any food items that you are allergic to. Are you affected by any other medical condition that may affect your ability to participate in class? If yes, please describe.

4 4 APPAREL Each student is issued one embroidered chef s coat, one skull cap and one white bib apron. Male students are issued one pair of chef s pants as part of their uniform. Female students may chose to provide their own black or jean skirt (must extend below the knee) or be provided with a pair of pants. Coats and pants sizes 2XL and up are issued at an additional cost. Please indicate your size below. Name (first & last, no nicknames or titles) as you would like it to appear on your chef s coat: COAT SIZE XS S M L XL* 2XL* 3XL* Men Women PANTS, MEN XS S M L XL 2XL* 3XL* Waist size PANTS, WOMEN XS S M Waist size * = Sizes 2XL and up are issued at an additional cost. If you would like to order additional apparel, please indicate so below. ITEM PRICE NUMBER OF ADDITIONAL PIECES COST Chef s coat, embroidered with student s name $20.00 X = $ Skull cap $8.00 X = $ Bib apron $4.00 X = $ Pants, men s $19.00 X = $ Pants, women s $19.00 X = $ TOTAL COST = $

5 5 Kitchen Footwear Although a professional kitchen maybe a fun place to produce your favorite dishes, learn new techniques and sample new food products, never the less a kitchen is a dangerous place! In an effort to minimize accidents, we at CKCA require that all pro-class students wear proper shoes in our kitchen classroom. Shoes must have a non- slip/skid sole to prevent slips or falls on oily floor surfaces. Additionally, no opened toed shoe or sneaker will be permitted after week 1. We suggest a sturdy work type boot or clog. There are numerous manufacturers and retail outlets to purchase such kitchen shoes and they may be obtained for about $30. NOT PERMITTED Flip-flops, Sandals, Sneakers, Leather soled footwear, Heels, Dress shoes, Flats, Stilettos, Uggs PERMITTED/RECOMMENDED Work Boots Clogs Kitchen Safety Shoes Recommended Brands: Timberland, Red-Wing, Dansko, Klogs, Sketchers, Dickies, CAT, Crocs

6 6 TUITION Culinary Arts Program $ Pastry Arts Program $ Subtotal: $ Less Application Fee Paid: $ Subtotal: $ PLUS ADDITIONAL APPAREL COST (Total Cost from Apparel box on page 2 of this form.) $ (Please enter total.) TOTAL TUITION: $ POLICY Tuition may be paid by check, money order, cash or credit. US Funds Only. A deposit of $1200 per program is due at the time of registration. A student will not be officially registered until a deposit is received, regardless of whether they have been accepted to the program. The balance of tuition is due by BEFORE the first day of class. If the balance is not paid, the student may forfeit his or her right to a spot in the class. Once a student is accepted and a deposit is received, a penalty fee of $250 will apply to any cancellation. Cancellation requests must be received more than one week before program start date in order to receive a refund of course fee paid to date (minus cancellation fee). refunds will be issued after program has started. I have read the above policy statement, as issued by CKCA, and agree to comply with the terms therein. Signature of Student Date